Marcie Johnson
Sanborn,NY
Summary
- Capacity for working efficiently in a fast paced setting while handling multiple priorities.
- Successful in negotiating problem solving solutions for complex issues.
- Excellent organizational skills.
- Detail orientated, driven and quality focused.
- Proficient in Meditech, Healthenet, Omnipro, Epaces and Experian; along with many other websites used for billing.
- Specialize in Dental, Oncology, Dialysis, HMO, No Fault and Workman's Compensation billing.
Overview
21
21
years of professional experience
Work History
Patient Financial Services Representative
Erie County Medical Center
09.2022 - Current
- Specialize in Dental, Oncology and Dialysis billing.
- Prepare medical claims to be submitted electronically or manually using UB04 and ADA forms.
- Communicate with payers to check status of claims.
- Identify, research and resolve failed claims and resubmit for payment.
- Review Insurance vouchers per contracted fee schedules and ensure patient's accounts reflect accurate payments and patient responsibilities.
- Make decisions with clear authority to adjust balances according to strict guidelines.
- Receive calls from patients and resolve their concerns with empathy and confidence.
- Proficient with Meditech, OmniPro, Epaces, Experian and other necessary websites needed for billing.
Retail Store Manager- 1st Assistant
Maurices
02.2022 - 03.2023
- Ensured store met daily, weekly and monthly goals.
- Increased store KPIs
- Managed daily and monthly reports.
- Managed employees.
- Created weekly work schedules, following corporate guidelines and allotted hours.
- Trained new employees.
- Met daily customer service standards.
- Opened and closed store; including balancing of registers and making nightly deposits.
Medical Billing Specialist- Accounts Receivable
Eastern Niagara Hospital
04.2016 - 11.2020
- Specialized areas of insurance included Independent Health, Nova, No Fault and Workman's Compensation.
- Prepared medical claims to be submitted electronically or manually using UB04/1500 forms.
- Communicated with insurance companies to check status of claims.
- Identify, research and resolve failed claims and resubmit for payment.
- Adjust account balances with confidence.
- Collected copays and pursued past due balances from patients.
- Liaised between patients, insurance companies, and billing office.
Medical Records Clerk
Eastern Niagara Hospital
02.2013 - 04.2016
- Assembled charts.
- Respond to CMS audits requesting medical records for insurance review.
- Produce and complete birth certificates for state reporting.
- Comply to HIPPA compliance regulations.
Senior Phlebotomist
Eastern Niagara Hospital
11.2002 - 02.2013
Education
Associate of Science - Business
Niagara County Community College
Sanborn, NY05.1992
High School Diploma -
Lockport High School
Lockport, NY06.1990
Skills
- Accounts Receivable
- Hospital experience
- EMR Systems
- HIPPA
- Medical Terminology
- Medical Records
- Insurance verification
- Data entry
- Analysis skills
- Customer service
- Customer support
Timeline
Patient Financial Services Representative
Erie County Medical Center
09.2022 - Current
Retail Store Manager- 1st Assistant
Maurices
02.2022 - 03.2023
Medical Billing Specialist- Accounts Receivable
Eastern Niagara Hospital
04.2016 - 11.2020
Medical Records Clerk
Eastern Niagara Hospital
02.2013 - 04.2016
Senior Phlebotomist
Eastern Niagara Hospital
11.2002 - 02.2013
Associate of Science - Business
Niagara County Community College
High School Diploma -
Lockport High School